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I like it both ways - with the 4th H as health or as hope. I'd lay it out just like the 4-leaf clover, with the cards sort of slanting outward, like an X. How fun!

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Life is not a journey to the grave with the intention of arriving safely
in a pretty and well-preserved body. Rather, one should skid in broadside,
thoroughly used up, totally worn out, and loudly proclaiming, "WOW--what a ride!"
--Anon

What if you did Home for the central position and Hope for the stem? You could even add a Hallelujah!, just kidding, was scrounging around for H words, but it could be for things that give your life joy, which is much different than the things that give you hope or hope for. I like the four H's idea a lot.

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If you can't be a good example -
- then you will just have to be a horrible warning